| NPI | 1932296704 |
|---|---|
| Former Name | JAMIE JOLENE MCMANIGAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1753) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-03-24 |